CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Redlands Community Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $250
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Redlands Community Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$250

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $84 (46%)
Insurance Median: $250 (138%)
Cash: $84 (46% of Medicare)
Ins. Median: $250 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Pacificare Bmg/Rymg Groups Only $82 45%
Pacificare (Rmg) - All Other Plans $105 58%
Heritage/Regal Med Grp Sr $175 97%
Heritage/Regal Med Grp-All Other Plans $175 97%
Mhn-All Plans $175 97%
Health Net-All Other Plans $187 103%
Kaiser Medi-Cal $194 107%
Blue Shield Ppo/Epo/Hmo - All Other Plans $209 115%
Beaver-All Other Plans $220 121%
Pinnacle Op Only-All Plans $220 121%
Epic Health Plan Senior $228 126%
Health Net Healthy Families $228 126%
Health Net Healthy Kids $228 126%
Iehp Health Access Senior $228 126%
Iehp Mcr Adv $228 126%
Kaiser Senior $228 126%
Tricare $228 126%
UnitedHealthcare $228 - $297 126%
Medicare (plans) $231 127%
Alinment Health Plan Mcr Adv-All Plans $233 128%
Coventry-All Plans $245 135%
Health Net Mcr Adv $247 136%
Universal Care-All Plans $247 136%
Llumc Sr $253 140%
Cigna $262 144%
Caremore Mcr Adv-All Plans $274 151%
Central Health Plan Sr-All Plans $274 151%
Choicecare-All Plans $280 154%
Interplan - All Plans $280 154%
Dsh - All Plans $297 164%
Epic Health Plan-All Other Plans $297 164%
Patton Dsh Mcr Adv-All Plans $297 164%
Multiplan Kaiser $300 165%
Aps-All Plans $315 174%
Beech Street-All Plans $315 174%
Llumc-All Other Plans $320 176%
Medi-Cal $350 193%
Blue Cross Blue Shield $371 205%
Iehp Healthy Family And Kids $385 212%
Rymg Op Only-All Plans $402 222%
Holman-All Plans $403 222%
Iehp - All Other Plans $410 226%
Molina Medi-Cal $594 328%
Aetna $631 348%
Blue Shield Mcare $649 358%
Kaiser Comm-All Other Plans $1,313 724%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals